48 cases of diagnosis and treatment of pneumonia in elderly.docVIP

 PAGE \* MERGEFORMAT 7 48 cases of diagnosis and treatment of pneumonia in elderly [Keywords:] old age, pneumonia, clinical features, diagnosis and treatment Health of the elderly against pneumonia has become a common and frequently-occurring disease in the elderly, pneumonia is the infection-related diseases, the leading cause of death, ranking 5th overall mortality, along with social development, population aging, increasingly significant the morbidity and mortality also showed an upward trend. now in our hospital in August 2007 -2008 on July 48 aged patients admitted to the clinical data of patients with pneumonia were analyzed in order to further improve diagnosis and treatment of senile pneumonia. 1 Clinical data 1.1 General Information of this group 23 males and 25 females, aged 65 to 91 years, mean 77.2 years old. With chronic obstructive pulmonary disease (COPD10 cases, hypertension in 6 cases, 8 cases of coronary heart disease, cerebrovascular disease hemiplegia in 8 cases, 9 cases of diabetes, malignancy in 2 cases, merging two or more diseases in 20 cases. community-acquired pneumonia (CAP30 (62.5%, hospital-acquired pneumonia (HAP18 cases (37.5%. 1.2 Clinical manifestations of 30 cases cough, shortness of breath in 28 cases, 16 cases of sputum white foam cough, cough yellow sputum in 6 cases, 2 cases of bloody sputum, body temperature 36 ~ 37.5 15 , 37.5 ~ 38.0 26 cases, 38.0 ~ 38.5 5 cases, more than 38.5 2 cases of fatigue, 28 cases of anorexia, nausea and vomiting in 9 cases, 2 cases of consciousness, tachycardia in 13 cases, 19 cases decreased breath sounds, lung moist rales in 25 cases, 15 cases of combined dry beep. 1.3 The auxiliary examination of the 48 patients underwent routine blood test, electrolytes, ESR, liver function, renal function, chest CR, lung CT. Blood test: the total number of white blood cells lt;10 109 / L 32 patients,gt; 10 109 / L 13 ,gt; 20 109 / L 3 cases, 35 cases of neutrophils increased, elect